Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.92 / $712.00 / $2,209.12	Facility		$465.92	$712.00	$2,209.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $433.13 / $533.40	Professional		$292.93	$433.13	$533.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.38 / $619.38 / $619.38	Facility		$619.38	$619.38	$619.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $55.20 / $78.84	Professional		$55.20	$55.20	$78.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.18 / $449.18 / $705.85	Facility		$449.18	$449.18	$705.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.18 / $619.38 / $1,058.77	Facility		$449.18	$619.38	$1,058.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $78.84 / $272.70	Professional		$55.20	$78.84	$272.70
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $401.06 / $539.34	Professional		$267.37	$401.06	$539.34